History: 24-hour history of periumbilical pain migrating to right iliac fossa, anorexia, nausea. No significant past medical history. No prior surgeries.

Systemic review: No urinary symptoms, no change in bowel habits, no chest complaints.

Vitals: Temp 38.2°C, HR 96, BP 120/78, SpO₂ 98% on air.

Abdominal exam: Tenderness and guarding at right iliac fossa, positive rebound tenderness. Rovsing's sign positive.

Initial: NPO, IV fluids, analgesia, IV broad-spectrum antibiotics (according to local protocol), consent for surgery.

Operation: Laparoscopic appendectomy performed under GA. Findings: inflamed/non-perforated appendix. No complications.

Patient recovered well post-op, mobilized by POD1, tolerating diet, discharged on POD2 with oral antibiotics and wound care advice. Follow-up at 1 week — wound healed, no complaints.

1. Typical presentation of acute appendicitis — importance of clinical diagnosis supported by labs/imaging.
2. Early surgical intervention reduces risk of perforation and morbidity.
3. Document informed consent and post-op instructions clearly.

Replace with actual references from journals, guidelines (e.g., NICE, local protocols).